Exercise Modifies Hypothalamic Connectivity and Brain Functional Networks in Women After Bariatric Surgery: a Randomized Clinical Trial

Overview

Journal Int J Obes (Lond)

Specialty Endocrinology

Date 2022 Dec 30

PMID 36585494

Authors

Carlos A A Merege-Filho

Saulo S Gil

John P Kirwan

Igor H Murai

Wagner S Dantas

Mariana P Nucci

Bruno Pastorello

Alisson Padilha de Lima

Paulo R Bazan

Rosa M R Pereira

Ana L de Sa-Pinto

Fernanda R Lima

Sonia M D Brucki

Roberto de Cleva

Marco A Santo

Claudia da Costa Leite

Maria Concepcion Garcia Otaduy

Hamilton Roschel

Bruno Gualano

Affiliations

Soon will be listed here.

Abstract

Background: Obesity is a disease that may involve disrupted connectivity of brain networks. Bariatric surgery is an effective treatment for obesity, and the positive effects on obesity-related conditions may be enhanced by exercise. Herein, we aimed to investigate the possible synergistic effects of Roux-en-Y Gastric Bypass (RYGB) and exercise training on brain functional networks.

Methods: Thirty women eligible for bariatric surgery were randomly assigned to a Roux-en-Y gastric bypass (RYGB: n = 15, age = 41.0 ± 7.3 years) or RYGB plus Exercise Training (RYGB + ET: n = 15, age = 41.9 ± 7.2 years). Clinical, laboratory, and brain functional connectivity parameters were assessed at baseline, and 3 (POST3) and 9 months (POST9) after surgery. The 6-month, three-times-a-week, exercise intervention (resistance plus aerobic exercise) was initiated 3 months post-surgery (for RYGB + ET).

Results: Exercise superimposed on bariatric surgery (RYGB + ET) increased connectivity between hypothalamus and sensorial regions (seed-to-voxel analyses of hypothalamic connectivity), and decreased default mode network (DMN) and posterior salience (pSAL) network connectivity (ROI-to-ROI analyses of brain networks connectivity) when compared to RYGB alone (all p-FDR < 0.05). Increases in basal ganglia (BG) network connectivity were only observed in the exercised training group (within-group analyses).

Conclusion: Exercise training is an important component in the management of post-bariatric patients and may improve the hypothalamic connectivity and brain functional networks that are involved in controlling food intake.

Trial Registration: Clinicaltrial.gov: NCT02441361.

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